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Effects Of Obesity On Cervical Disc Arthroplasty Complications – Cervical Disc Replacement

The article discusses the impact of obesity on the outcomes of cervical disc arthroplasty (CDA) surgery. The study analyzed data from 2004 to 2014 and found a significant increase in obese patients undergoing CDA during this time period. Obesity was identified as an independent risk factor for increased rates of inpatient neurologic complications, pulmonary embolus, and wound infection in patients undergoing CDA. The findings highlight the importance of considering obesity as a modifiable comorbidity when providing care for cervical degenerative pathology. The article concludes by suggesting the need for large prospective trials to further validate these findings

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most advanced day surgery hospital in UK

Published article

In patients undergoing CDA, from 2004 to 2014, obesity was identified as an independent risk factor with significantly increased rates of inpatient neurologic complications, pulmonary embolus and wound infection. Large prospective trials are needed to validate these findings.

Cervical Disc Arthroplasty Surgery Expert. Best Spinal Surgeon UK
Abstract Objective: High body mass index is a well-established modifiable comorbidity that is known to increase postoperative complications in all types of surgery, including spine surgery. Obesity is increasing in prevalence amongst the general population. As this growing population of obese patients ages, understanding how they faire undergoing cervical disc arthroplasty (CDA) is important for,

Abstract

Objective: High body mass index is a well-established modifiable comorbidity that is known to increase postoperative complications in all types of surgery, including spine surgery. Obesity is increasing in prevalence amongst the general population. As this growing population of obese patients ages, understanding how they faire undergoing cervical disc arthroplasty (CDA) is important for providing safe and effective evidence-based care for cervical degenerative pathology.

Methods: Our study used the Healthcare Cost and Utilization Project’s National Inpatient Sample to assess patients undergoing CDA comparing patient characteristics and outcomes in nonobese patients to obese patients from 2004 to 2014.

Results: Our study found a significant increase in the overall utilization of CDA as a treatment modality (p = 0.012) and a statistically significant increase in obese patients undergoing CDA (p < 0.0001) from 2004 to 2014. Obesity was identified as an independent risk factor associated with increased rates of inpatient neurologic complications (odds ratio [OR]6.99; p = 0.03), pulmonary embolus (OR, 5.41; p = 0.05), and wound infection (OR, 6.97; p < 0.001) in patients undergoing CDA from 2004 to 2014.

In patients undergoing CDA, from 2004 to 2014, obesity was identified as an independent risk factor with significantly increased rates of inpatient neurologic complications, pulmonary embolus and wound infection. Large prospective trials are needed to validate these findings.

Keywords: Arthroplasty; Cervical vertebrae; Obesity; Replacement.

The London Spine Unit : most advanced day surgery hospital in UK

Read the original publication:

Effects of Obesity on Cervical Disc Arthroplasty Complications

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Abstract Objective: High body mass index is a well-established modifiable comorbidity that is known to increase postoperative complications in all types of surgery, including spine surgery. Obesity is increasing in prevalence amongst the general population. As this growing population of obese patients ages, understanding how they faire undergoing cervical disc arthroplasty (CDA) is important for

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